Sam, although you can’t do these videos super often because of the amount of time and research they require this is the type of video that will have informed someone who later saves a life by recognizing shock. Your hours of hard work that went into this video definitely showed and we are all very appreciative. Keep up that EBM!
You are more right that you know. I started following this channel maybe a year ago and since then I have watched most of his videos more than once. At the time this was only to further my understanding of first aid to further my personal and non-medical professional life. Since then I have begun to pursue my EMT, with the goal to a paramedic career path. I won't know that this is the path for me until I've done it but I'm very positive.
Hi Sam, I just wanted to say thank you, I have been watching you for over a year and a half, I have no special background I am just a normal guy with a normal job, but your videos have allowed me to prepare not only myself but also by extent my family for multiple potential life changing scenarios, the time and effort you put in is beyond any other content creator I have seen, keep up the amazing work
I am currently in EMT school and am studying shock this week. Great video! Thank you for the help and effort that you put into this! They say that shock is one of the most failed subjects on the state test right now, so hopefully, I'll be able to understand it and study hard enough to pass it!
Sam I just want to say that I started EMT school at the. beginning of 2020 and everything was going great until covid, fortunately I did finish the school eventually and I just recently passed national registry and got my EMT license Part of of what helped me get through it was your videos like this, so thank you
hello Sam. i don't know if you ever read comments on old videos like this one, but thanks for this one. i just passed the NREMT and i don't have access to the videos and slides i had in class. i really like videos like this because they help to keep the knowledge i gained in class fresh in my mind. thanks again!
Nine thumbs down for this video???? I cannot understand why anyone would give this video a thumbs down! This is great content and delivered well by an experienced EMS provider. Very informative and well presented. Thank you
Wow! Another power packed, content-rich video by Sam - This training is superior to what is being taught in many pre-hospital training programs - Thank you!
Thanks so much for your excellent video. As a paramedic student, I had been assigned the lengthy but good series on shock by Dr. John Cambell, but your video was so consise and much more practical. So helpful in mobilizing the differential field diagnosis, I really commend you for hitting all the prominent points. Especially helpful with the current treatments. Our text is current edition, but still promotes outdated meds and techniques. My region as an EMT is high mountains on the Appalachian Trail with long transport times, so very helpful. So grateful for you... faithful follower now.
Thanks for your work. I'm a french nurse/ first responder (We dont have paramedics here, it is a specialised nurse job). It helps me learning more english medical vocabulary, your accent is very easy for me to understand, and it is interesting to learn about US procedures, it is sometimes a little bit different from our protocols. Very interesting channel.
Great video. I was a TCCC in the infantry I am now out and a MFR looking to become a EMT. I have seen and treated many forms of shock. I found your video excellent, the way you have presented touches on many levels of training and comprehension so anyone can gain something from it. I haven't seen a video of yours I didn't like. I know this is an old one but please keep up the great work both on UA-cam and your career.
I'm not even in the ems field n I'm learning how complex n acknowledgeble paramedics/emt's are. Great videos thank u for your time you reaching more people than you know.
These type of videos are SO helpful. I understand these are not easy for you, but if you sprinkle one of these in within your other videos, you really would be the best
As someone who had a shock after an accident I have to say it's also scary af for the person who has it... You get out seem unharmed then you sit there waiting for the police and then shit hits you like a sledgehammer and you don't know what the hell is going on.. And then you just Black out..thanks to the people that saved me back then
I'm SO glad I found your channel! I found you by watching the SkinnyMedic. I have limited training (BLS/CPR/AED Instructor for a local tech college) but have recently felt the drive to get more training. Your videos are amazing and are definitely helping fill that gap until Coronavirus is better controlled/understood and more in-person classes are happening.
Great video, I definitely learnt a few things especially relating to cardiac tamponade! Here in the UKs NHS ambulance service we can't do pericardiocentesis, it's a hospital procedure only so early recognition is extremely important!
I love your videos. I usually listen to them like a podcast. Theyre awesome to review concepts and make sure i remember everything i was trained. But learning about the terms and all the anatomy is so cool.
I was without my Epi one evening and got stung at an outdoor restsurant. God bless the nurse that happened to be sitting near us. A whole bunch of benadryl, coffee and my albuterol inhaler got me through. Whew! Yes, I picked up my EPI as soon as I could get to my pharmacy,!
Hey Sam, I was looking for the links you mentioned for more of a "deep dive" but didn't see them in the comments section. Could you direct me to them? Great video. Thanks for all your hard work.
ITLS has Becks Triad as, JVD, muffled heart tones and pulsus paradoxus, unless it has changed. Hypotension and narrowing pulse pressures are associated with cardiac tamponade however, not part of the triad. I am only mentioning it for people watching prior to testing, my ITLS book is getting old so there may have been an update. Practically, all of these are important to be able to identify.
Going through my emt right now and shock is the most complicated thing for me. I'm about 3/4 done with the class (93%!) and its been moved online due to Covid until further notice.
I've watched a few of your videos and commented occasionally. Have you considered medical school? You seem to have several of the attributes that characterize successful med. students and physicians.
Hi, I’ve over complicated shock in my mind that I’m lost in what it is exactly but I have a few questions just to try and make sense of it for myself. Is shock defined as the signs and symptoms of compensated and decompensated shock For septic shock would clinicians first identify sepsis then if any of the signs and symptoms of compensated/decompensated shock be prensent it is then classed as septic shock. I’m trying to figure out where the line is draw and where sepsis, anaphylaxis and hypovolemia transition into ‘shock’. I greatly appreciate any and all help regarding this.
If I ever go into anaphylaxis again, I hope there's someone as experienced as you nearby. Last time I was already in the ER but I don't even have an EpiPen 😬 Curious and anyone working in the field can answer but where is a good place to carry information of medications you're allergic to? Somewhere that would actually be checked besides the obvious of those bracelets. Because I saw one of the ones I'm allergic to in the case of most often used meds (in another video) and that wouldn't end well for me.
Had shock 4 times from loss of Blood. First was from a gun shot wound, other times where from menstruation . It feels like all the blood in my body was pooling in my abdomen. Had a need to take off my boots they felt too tight, when it was really the blood leaving my feet. A few days after "giving birth" l suddenly felt weak when l was laying down, couldn't get up no matter How hard l tried. felt like something heavy was placed on my stomach, so l couldn"t move..tight painfull ..just felt all The life draining outta ME quickly.
Luciano Angrigiani you mean hemothorax? Technicaly its not “in your lungs” but in the pleora cavity, and usually you would see hemorhagic shock signs due to the blood loss it takes to build up pressure on the lung itself, before actually pressuring the lung itself. I think the only standart treatment for hemothorax is a chest tube wich in some countries is an Als procedure and in other it is a doctors only procedure so I dont really think its relevant..
@@roeiklein7967 Yeah, I meant an Hemotthorax. English is not my first languaje so I had a hard time finding the words. I wondered if any first aid care was really important to know for those cases, much like the Chest Neddle Decompresion or using Hyfin or similar productos (or improvised solutions) to stop air flow in Neumotorax
Generally that is done in hospital with surgery. Don't think it's done much in EMS, I'm not too sure how to explain the way it's done, but oversimplified way is that it's a pipe inserted into your chest cavity that drains the blood built up.
Thanks for the video Sam. I do love your channel so please don’t take as an insult. With all do respect... the extensive explanation is a tad farther than my certification as a lay person. Pls do another video of say five minutes for the first responders. Thanks
I get that, and I know it is a lot to sit through, but knowlage never hurt anyone and even if it isn't in your scope it is still good to have a more indepth understanding of what you are treating. Thanks for the support!
There are but they will only cover you up to a certain point. Using someone elses Epi, you will probably be covered, using your epi on someone else.... maybe not.
Good Sam laws also take into the training you have had at any point in your adult life. In my state I wouldn’t be covered due to certification even though I have dropped back to basic from Advanced level.
Magic Man that is actually not the case.... you are covered for basic interventions... maybe needle decompressions (probably not) and that is it. The second you start branching into advanced care you are practicing medicine without a license.
Sam, although you can’t do these videos super often because of the amount of time and research they require this is the type of video that will have informed someone who later saves a life by recognizing shock. Your hours of hard work that went into this video definitely showed and we are all very appreciative. Keep up that EBM!
Thank you! I am also glad you appreciate the work that goes into this type of video, reviews are easy, these are not.
You are more right that you know. I started following this channel maybe a year ago and since then I have watched most of his videos more than once. At the time this was only to further my understanding of first aid to further my personal and non-medical professional life. Since then I have begun to pursue my EMT, with the goal to a paramedic career path. I won't know that this is the path for me until I've done it but I'm very positive.
Hi Sam, I just wanted to say thank you, I have been watching you for over a year and a half, I have no special background I am just a normal guy with a normal job, but your videos have allowed me to prepare not only myself but also by extent my family for multiple potential life changing scenarios, the time and effort you put in is beyond any other content creator I have seen, keep up the amazing work
Thank you! That means a lot.
this was perfect timing, I’ve got training for shock Wednesday. Thanks.
More recognition and treatment videos please! Thank you!
I am currently in EMT school and am studying shock this week. Great video! Thank you for the help and effort that you put into this! They say that shock is one of the most failed subjects on the state test right now, so hopefully, I'll be able to understand it and study hard enough to pass it!
You are absolutely my go to for this type of information on trauma related issues. I sincerely appreciate the quality of your videos. Kudos to you!!
Sam I just want to say that I started EMT school at the. beginning of 2020 and everything was going great until covid, fortunately I did finish the school eventually and I just recently passed national registry and got my EMT license
Part of of what helped me get through it was your videos like this, so thank you
hello Sam. i don't know if you ever read comments on old videos like this one, but thanks for this one. i just passed the NREMT and i don't have access to the videos and slides i had in class. i really like videos like this because they help to keep the knowledge i gained in class fresh in my mind. thanks again!
Nine thumbs down for this video???? I cannot understand why anyone would give this video a thumbs down! This is great content and delivered well by an experienced EMS provider. Very informative and well presented. Thank you
9 people must have watched this video upside down
Entering Shock tomorrow for EMT class, this extra information has been mega awesome! Thank you very much Sam
Wow! Another power packed, content-rich video by Sam - This training is superior to what is being taught in many pre-hospital training programs - Thank you!
Thanks so much for your excellent video. As a paramedic student, I had been assigned the lengthy but good series on shock by Dr. John Cambell, but your video was so consise and much more practical. So helpful in mobilizing the differential field diagnosis, I really commend you for hitting all the prominent points. Especially helpful with the current treatments. Our text is current edition, but still promotes outdated meds and techniques. My region as an EMT is high mountains on the Appalachian Trail with long transport times, so very helpful. So grateful for you... faithful follower now.
Thanks for your work.
I'm a french nurse/ first responder (We dont have paramedics here, it is a specialised nurse job).
It helps me learning more english medical vocabulary, your accent is very easy for me to understand, and it is interesting to learn about US procedures, it is sometimes a little bit different from our protocols.
Very interesting channel.
Great video. I was a TCCC in the infantry I am now out and a MFR looking to become a EMT. I have seen and treated many forms of shock. I found your video excellent, the way you have presented touches on many levels of training and comprehension so anyone can gain something from it. I haven't seen a video of yours I didn't like. I know this is an old one but please keep up the great work both on UA-cam and your career.
Just started following along. Medic working in Alberta, Canada. Great videos man!
I'm not even in the ems field n I'm learning how complex n acknowledgeble paramedics/emt's are. Great videos thank u for your time you reaching more people than you know.
These type of videos are SO helpful. I understand these are not easy for you, but if you sprinkle one of these in within your other videos, you really would be the best
As someone who had a shock after an accident I have to say it's also scary af for the person who has it... You get out seem unharmed then you sit there waiting for the police and then shit hits you like a sledgehammer and you don't know what the hell is going on.. And then you just Black out..thanks to the people that saved me back then
Have you done any videos on patient assessment? Primary secondary etc. could you make one? I'm loving the content on your channel.
Thanks for the great training videos. As an EMT some of the procedures are out of my scope of practice but that’s good to help me become better.
I'm SO glad I found your channel! I found you by watching the SkinnyMedic. I have limited training (BLS/CPR/AED Instructor for a local tech college) but have recently felt the drive to get more training. Your videos are amazing and are definitely helping fill that gap until Coronavirus is better controlled/understood and more in-person classes are happening.
this is the best explanation I've seen on this topic
Such a thorough video. Great explanations. Keep them coming!
Just started EMT, these vids are awesome!
Great video, I definitely learnt a few things especially relating to cardiac tamponade! Here in the UKs NHS ambulance service we can't do pericardiocentesis, it's a hospital procedure only so early recognition is extremely important!
I love your videos. I usually listen to them like a podcast. Theyre awesome to review concepts and make sure i remember everything i was trained. But learning about the terms and all the anatomy is so cool.
I was without my Epi one evening and got stung at an outdoor restsurant. God bless the nurse that happened to be sitting near us. A whole bunch of benadryl, coffee and my albuterol inhaler got me through. Whew! Yes, I picked up my EPI as soon as I could get to my pharmacy,!
I absolutely love your videos. Very informative for me as I am beginning a career in EMS and healthcare. Please keep it up
Great video! Greatings from italy
Thanks for that overview, you updated me on a couple of things, which tells me I need to do some updating of my skills, I am located in Ecuador
Jodie Mac Same here.. Amazon region. 💪
Fantastic, as ever, many thanks. Very much appreciate the work and time that goes into your videos. First aider, UK
Great video, Greetings from Mexico
Great video. Thanks. My whole team watched it.
Excellent refresher with good information .
You videos are excellent. The best. Thank you.
One of your best vids.
Thanks for the added/updated information!
Absolutely awesome video! Well done and thanks for taking the time to upload valuable information.
Thank you.
Have test for medical section of emt class next week, super helpful.
Great refresher for me. Many thanks 👍🏻
Another amazing video, and we’re still waiting for some PrepMedic Merch.... 👀
Someday soon hopefully!
Great video! I am working towards becoming a paramedic when I’m older, so this knowledge will hopefully be useful in the future. Thanks a lot :)
Excellent informational video.
I really enjoy these videos man, you're an excellent teacher. Also,
I agree 100%, get training.
Thank you! I appreciate that.
@@PrepMedic it's the truth though. haha
I just covered shock in my AEMT book!
Hey Sam, I was looking for the links you mentioned for more of a "deep dive" but didn't see them in the comments section. Could you direct me to them? Great video. Thanks for all your hard work.
Perfect timing , I just had a lesson on shock in ITLS a few hours ago haha
Thankyou for making this video
Good advise
Lot of thanks !
I have no idea what 80% is being said but I'm still watching because it's interesting
ITLS has Becks Triad as, JVD, muffled heart tones and pulsus paradoxus, unless it has changed. Hypotension and narrowing pulse pressures are associated with cardiac tamponade however, not part of the triad. I am only mentioning it for people watching prior to testing, my ITLS book is getting old so there may have been an update. Practically, all of these are important to be able to identify.
And remember that PP is detected during quiet respiration, not exaggerated.
Will you still be posting the deep dive resources for shock that you said you would link in the video description?
Scratch out a sting with a credit card 🙄 who in this field can afford a credit card. 😂😂😂🙏🏻❤️
awesome thanks for the video just learned about this
Can you do a more indept video on prophylactic shock?
Hi,Happy 2020🙂✌🏼
Going through my emt right now and shock is the most complicated thing for me. I'm about 3/4 done with the class (93%!) and its been moved online due to Covid until further notice.
First comment from INDIA
Hi Sam"
I Like the way your style😊
Can you make a video about diabetes please and kind of focus on dka!!
I've watched a few of your videos and commented occasionally. Have you considered medical school? You seem to have several of the attributes that characterize successful med. students and physicians.
Paramedics are healthcare professionals too.
He is.
Hi, I’ve over complicated shock in my mind that I’m lost in what it is exactly but I have a few questions just to try and make sense of it for myself.
Is shock defined as the signs and symptoms of compensated and decompensated shock
For septic shock would clinicians first identify sepsis then if any of the signs and symptoms of compensated/decompensated shock be prensent it is then classed as septic shock.
I’m trying to figure out where the line is draw and where sepsis, anaphylaxis and hypovolemia transition into ‘shock’.
I greatly appreciate any and all help regarding this.
The nice thing about laying a patient down is that they don't get concussed when they pass out
If I ever go into anaphylaxis again, I hope there's someone as experienced as you nearby. Last time I was already in the ER but I don't even have an EpiPen 😬
Curious and anyone working in the field can answer but where is a good place to carry information of medications you're allergic to? Somewhere that would actually be checked besides the obvious of those bracelets. Because I saw one of the ones I'm allergic to in the case of most often used meds (in another video) and that wouldn't end well for me.
Is lactate checked in the field? (For sepsis?)
just wondering, when did they decide not to pump tons of fluids?
I wanna know where to get that black and red bag behind him lol
Had shock 4 times from loss of Blood. First was from a gun shot wound, other times where from menstruation . It feels like all the blood in my body was pooling in my abdomen. Had a need to take off my boots they felt too tight, when it was really the blood leaving my feet. A few days after "giving birth" l suddenly felt weak when l was laying down, couldn't get up no matter How hard l tried. felt like something heavy was placed on my stomach, so l couldn"t move..tight painfull ..just felt all The life draining outta ME quickly.
Can hyponatremia induce Hypovolemic Shock?
Hey, can you make a video on how to release pressure from blood building up in the lungs?
Luciano Angrigiani you mean hemothorax? Technicaly its not “in your lungs” but in the pleora cavity, and usually you would see hemorhagic shock signs due to the blood loss it takes to build up pressure on the lung itself, before actually pressuring the lung itself. I think the only standart treatment for hemothorax is a chest tube wich in some countries is an Als procedure and in other it is a doctors only procedure so I dont really think its relevant..
@@roeiklein7967 Yeah, I meant an Hemotthorax. English is not my first languaje so I had a hard time finding the words.
I wondered if any first aid care was really important to know for those cases, much like the Chest Neddle Decompresion or using Hyfin or similar productos (or improvised solutions) to stop air flow in Neumotorax
Generally that is done in hospital with surgery.
Don't think it's done much in EMS, I'm not too sure how to explain the way it's done, but oversimplified way is that it's a pipe inserted into your chest cavity that drains the blood built up.
Thanks for the video Sam. I do love your channel so please don’t take as an insult. With all do respect... the extensive explanation is a tad farther than my certification as a lay person. Pls do another video of say five minutes for the first responders. Thanks
I get that, and I know it is a lot to sit through, but knowlage never hurt anyone and even if it isn't in your scope it is still good to have a more indepth understanding of what you are treating. Thanks for the support!
I'm still in shock from watching the Golden Globe Awards and the Hollywood Elite getting their ass handed to them
PrepMedic what about Heatstroke induced Hypovelmia, is it the same symptoms yet only with Hyperthermia? God Bless
Heat stroke is not necessarily hypovolemia, although hypovolemia make you more susceptible to heat stroke
Ok, what if that were to happen^, how would the symptoms vary? Lack of Consciousness, coupled with a dangerous fever? Thanks
What happened with the granola bar CEO the other day :'(
How about hypoglycemic shock?
"Insulin shock" is not real shock and is kind of a misnomer. Completely different processes.
Lawsuits? No good Samaritan Laws" in the US?
There are but they will only cover you up to a certain point. Using someone elses Epi, you will probably be covered, using your epi on someone else.... maybe not.
Good Sam laws also take into the training you have had at any point in your adult life. In my state I wouldn’t be covered due to certification even though I have dropped back to basic from Advanced level.
Magic Man that is actually not the case.... you are covered for basic interventions... maybe needle decompressions (probably not) and that is it. The second you start branching into advanced care you are practicing medicine without a license.
Save station
Whole fresh blood sound so weird😂
TRENDELINBURG
Not really used a ton any more. Benefits are minimal...
@@PrepMedic oh really. Wow ok.
Thanks for the review. First comment lol ?
Yes you are
Thank you